摘要
目的分析老年患者胃肠道术后谵妄的发病情况。方法对142例年龄≥60岁的老年胃肠道手术患者，使用意识混乱评估方法（CAM）和谵妄评定量表（．98修订版）（DRS．R-98）进行术后谵妄评估和筛查，对相关临床资料应用SPSS19．0软件进行t检验和矿检验，并对结果进行统计学分析。结果142例患者中有36例术后出现谵妄（25．4％），其中术后1、2、3d内发生谵妄的例数分别为4、7、17例。4～7d内发生谵妄7例，7d后发生谵妄1例。谵妄患者住院时间（17．7±2．6）d明显高于非谵妄患者（13．4±2．3）d，差异有统计学意义（t=4．608，P=0．0001）；谵妄患者术后出现并发症（52．8％、23．6％，=10．710，P=0．001）和转入ICU率（22．2％、6．6％,X2=6．939，P=0．008）明显升高。结论术后谵妄是胃肠道手术后常见的并发症之一，并导致住院时间延长，术后并发症增加。
Objective To study postoperative delirium in elderly patients. Methods We investigate the morbidity of postoperative delirium in 142 elderly patients （ I〉60 years ）after gastrointestinal surgery by using Confusion Assessment Method（CAM） and Delirium Rating Scale Revised-98 （DRS-R98） scores. Data were analyzed using Student＇s t test and Chi-squaretest respectively with SPSS 19. 0. Results Of 142 patients, delirium was diagnosed in 36 patients （25.4%） , delirium developed in 4, 7,17,7,1 patients in posto perative 1,2,3,4-7,7 ＋ days respectively. There were significant difference in hospital stay： 17.7±2. 6 days （ postoperative delirium） and 13.4±2. 3 days （ no postoperative delirium）, t =4.608, P =0.000 1. The postoperative complications （52.8% / 23.6% ,X2 = 10. 710, P =0.001 ） and ICU admission （ 22. 2%/6. 6%, X^2 = 6. 939, P = 0. 008 ） significantly increased. Conclusions Postoperative delirium is recognized as one of the most common surgical complications in elderly patients with gastrointestinal surgery leading to other major postoperative complications, and prolonged hospitalization.
出处
《中华普通外科杂志》
CSCD
北大核心
2016年第9期768-770,共3页
Chinese Journal of General Surgery
关键词
谵妄
手术后并发症
发病率
老年患者
Delirium
Postoperative complication
Incidence
Elderly
